Repositorio UFRO · Omeka S

Intergenerational sex and early sexual debut are associated with HIV infection among transgender women in Paraguay

Primer Autor	Aguilar, Gloria
Co-autores	Morel, Zoilo Samudio, Tania Lopez, Gladys Rios-Gonzalez, Carlos Miguel Gimenez, Liliana Schaerer, Christian Gomez, Santiago Baez, Teresita Estigarribia, Gladys Mendez, Julieta Munoz, Sergio McFarland, Willi
Título	Intergenerational sex and early sexual debut are associated with HIV infection among transgender women in Paraguay
Editorial	WILEY
Revista	HIV MEDICINE
Lenguaje	en
Resumen	Introduction: HIV prevalence among transgender women is high worldwide. The objectives of the present study were to estimate the current prevalence of HIV and identify factors associated with high HIV burden among transgender women in Paraguay.Methods: Transgender women aged =15 years in four regions of Paraguay were recruited by Starfish sampling between February and March 2021.Results: In total, 322 transgender women were included. Mean age was 31 years (range 15-67), and 102 had positive HIV test results (31.7%, 95% confi-dence interval [CI] 26.6-37.1). In multivariable analysis, factors associated with HIV infection were age at first intercourse =17 years (adjusted odds ratio [aOR] 5.47, 95% CI 1.05-28.42), >10 years difference in age with the last sexual partner (aOR 1.60, 95% CI 1.04-2.46), substance use (mostly cocaine) (aOR 3.00, 95% CI 1.47-6.12), higher risk perception (aOR 3.08, 95% CI 1.53-6.17), not testing for HIV (aOR 1.23, 95% CI 1.09-1.39), and accessed by a peer edu-cator (aOR 3.86, 95% CI 1.77-8.38).Conclusions: Sexual debut as a minor and a large age difference with sexual partners are associated with high burden of HIV among transgender women in Paraguay. Our study corroborates the finding of cocaine use during sex as a risk factor for HIV. Prevention programmes must address structural and social vulnerabilities to stem the tragically high burden of HIV among transgender women.
Fecha Publicación	2023
Tipo de Recurso	artículo original
doi	10.1111/hiv.13496
Formato Recurso	PDF
Palabras Claves	cocaine HIV Paraguay sexual behaviour transgender persons
Ubicación del archivo	http://dx.doi.org/10.1111/hiv.13496
Categoría OCDE	Enfermedades infecciosas
Materias	cocaína VIH Paraguay comportamiento sexual personas transgénero
Página de inicio (Recomendado-único)	990.0
Página final (Recomendado-único)	999
Identificador del recurso (Mandatado-único)	artículo original
Versión del recurso (Recomendado-único)	versión publicada
Derechos de acceso	metadata
Access Rights	metadata
Id de Web of Science	WOS:000981211300001
ISSN	1464-2662
Tipo de ruta	hibrida
Categoría WOS	Enfermedades infecciosas